The current COVID-19 pandemic reveals the dangerousness of infectious diseases and the threats we face. Often however, effective vaccinations are carried out insufficiently. In March 2020, the German measles protection law was introduced to raise the level of population (herd) immunity to over 95%.
An anonymous online survey was conducted among the population on the Measles Protection Act with self-declarations on measles vaccination/illness of participants and their children and evaluation of various sanctions.
1,594 adults participated. 19.3% were affected by the law. Of these, only 77.5% were immune to measles, 14.0% wanted to be fully vaccinated when the law came into force, which would lead to 91.5% immunity. Assuming that participants with unclear vaccination status or measles disease are immune, an immunity of&gt;95% can be achieved. 86.4% of the children (aged 2 to 17 years) had developed immunity. Parents' willingness to have their children vaccinated because of the sanctions provided for in the Measles Protection Act was only 0.8%.
The level of immunity to measles in adults and children was under 95% in our study. The sanctions of the Measles Protection Act are a greater incentive for adults to undergo measles vaccination than for parents. Strategies to increase immunity with the target group of parents should continue to be pursued.
The level of immunity to measles in adults and children was under 95 % in our study. The sanctions of the Measles Protection Act are a greater incentive for adults to undergo measles vaccination than for parents. Strategies to increase immunity with the target group of parents should continue to be pursued.The high scientific uncertainty of many far-reaching and serious political decisions during the "coronavirus crisis" underpins the enormous importance of having evidence syntheses that are quickly available and at the same time reliable. As these requirements can only be insufficiently fulfilled by systematic reviews due to the high amount of time required, abbreviated evidence syntheses in the form of rapid reviews are becoming increasingly popular.
This commentary aims to enhance methodological and methodical discussions and research about abbreviated evidence syntheses.
A selective literature search and evaluation focussing on research dealing with rapid reviews.
In rapid reviews, a wide variety of methods can be used to speed up the process of literature search and evaluation, while at the same time maintaining the principles of methodological quality and transparent reporting. But do rapid reviews currently keep what they promise? We discuss the increasing trend towards rapid reviews, giving the currently available evidence on the topic some critical reflection. Following this discussion, we will finally derive demands that go beyond the topic of rapid reviews alone.
In rapid reviews, a wide variety of methods can be used to speed up the process of literature search and evaluation, while at the same time maintaining the principles of methodological quality and transparent reporting. But do rapid reviews currently keep what they promise? We discuss the increasing trend towards rapid reviews, giving the currently available evidence on the topic some critical reflection. Following this discussion, we will finally derive demands that go beyond the topic of rapid reviews alone.Patient and public participation in health research is of increasing social importance. The participation of citizens (patients, their next or interested parties) is not yet structurally anchored in Germany. https://www.selleckchem.com/products/rituximab.html This manuscript aims to present and to discuss first experiences with patient and public involvement in two palliative care centers.
In two centers, a general patient and public involvement committee (Erlangen) and a project-associated patient and public involvement group (Munich) were founded. Strategies for recruitment of potential members (public lectures, personal contact, information on the website, leaflets) were developed and applied. Sociodemographic data and motivations were assessed using survey and personal communication. 18 months after foundation citizens were asked to give feedback on participation during personal meetings.
The 20 members of the PPI committee (14 female) are between 52 and 86 years old in Erlangen. The PPI group in Munich has 7 members (5 female). Motivations to contricussion of PPI as one specification of voluntary engagement in palliative care, centralized provision of general information on PPI in palliative care and the possibilities of exchange between PPI groups and researchers of different facilities, should take place.
There is a need for networking and exchange among researchers and citizens of different project groups with experience in PPI. An institutionalized provision of expertise would pave the way for PPI in palliative research.
There is a need for networking and exchange among researchers and citizens of different project groups with experience in PPI. An institutionalized provision of expertise would pave the way for PPI in palliative research.Intracranial injury in elderly patients presenting with minor head trauma is often overlooked in the emergency department (ED). Our suburban community-based level II trauma hospital developed and implemented the level III trauma protocol (L3TP) in January 2016 to better evaluate and diagnose intracranial injury in elderly patients presenting with minor head trauma after a fall. The L3TP requires that the ED physician immediately assess all patients meeting the following criteria 1) Age?65years old. 2) Currently taking any anticoagulant or antiplatelet agents. 3) Presenting in the ED with a potential head injury after a fall. The ED physician determines if these high-risk patients require emergent imaging, obviating the need for trauma team activation unless an intracranial hemorrhage (ICH) is found. The purpose of this study was to assess the impact of the novel L3TP on resource utilization and patient outcome.
Our retrospective cohort study included patients who met the L3TP inclusion criteria and had an ICH diagnosed by non-contrast computed tomography (CT).